Fukaya Hidehira, Oikawa Jun, Hirasawa Shoji, Shimohama Takao, Tojo Taiki, Niwano Shinichi, Izumi Tohru
Division of Cardiology, Shizuoka Municipal Shimizu Hospital, Shizuoka, Japan.
Department of Cardio-Angiology, School of Medicine, Kitasato University, Sagamihara, Japan.
J Cardiol Cases. 2011 Jun 15;4(1):e1-e4. doi: 10.1016/j.jccase.2011.05.002. eCollection 2011 Aug.
A 66-year-old Japanese man complained of chest pain consistent with acute myocardial infarction (AMI). His electrocardiogram showed ST segment elevation in the anterior and inferior leads. Emergency coronary angiography revealed occlusion of the proximal left anterior descending artery (LAD) and middle left circumflex artery (LCx). An intra-aortic balloon pump (IABP) was inserted to restore antegrade coronary flow in these vessels. Coronary stents were subsequently implanted at the culprit lesions. Although previous reports of multivessel coinstantaneous AMI are rare and indicate a poor prognosis, he had a relatively benign course and was discharged with New York Heart Association functional class I without post-operational complications.
一名66岁的日本男性主诉胸痛，符合急性心肌梗死（AMI）表现。他的心电图显示前壁和下壁导联ST段抬高。急诊冠状动脉造影显示左前降支近端（LAD）和左旋支中段（LCx）闭塞。插入主动脉内球囊泵（IABP）以恢复这些血管的冠状动脉顺行血流。随后在罪犯病变处植入冠状动脉支架。尽管先前关于多支血管同时发生AMI的报道很少且预后较差，但他的病程相对良好，出院时纽约心脏协会心功能分级为I级，无术后并发症。
